慢性胰腺炎疼痛管理的最佳实践:基于证据的综合性审查
Pei-Yu Huang1, Ai-Fang Xiao1, Zhen-Qing Ren2
1Department of Emergency, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, People's Republic of China.
Journal of inflammation research
|April 21, 2025
概括
本综述综合了慢性胰腺炎 (CP) 疼痛管理的证据,在七个领域提出了19个建议. 个性化治疗是改善患者生活质量的关键.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 疼痛管理 疼痛管理
- 基于证据的医学基于证据的医学.
背景情况:
- 慢性胰腺炎 (CP) 是一种衰弱的疾病,其特征是持续的腹痛.
- 有效的疼痛管理对于改善CP患者的生活质量至关重要.
- 需要对当前证据进行全面的综合分析,以指导临床实践.
研究的目的:
- 确定和综合有关慢性胰腺炎疼痛管理策略的高质量证据.
- 为CP疼痛管理中的临床实践干预提供参考.
- 巩固最好的可用证据,以优化患者的治疗结果.
主要方法:
- 在多个数据库和信息平台上进行了系统的文献搜索,直到2023年10月.
- 包括标准集中在临床决策,证据摘要,准则,系统审查和专家共识文件上.
- 数据提取和评估是由两个研究人员独立执行的.
主要成果:
- 21篇文章符合纳入标准,包括指导方针,专家共识,临床决定和系统审查.
- 证据被分为七个治疗领域:疼痛评估,药物干预,内镜治疗,手术干预,传统中医 (TCM) 疗法,其他方式和定制方法.
- 从分析的证据中得出了19条关于CP疼痛管理的不同的建议.
结论:
- 本综述巩固了管理慢性胰腺炎疼痛的最佳现有证据.
- 考虑患者偏好和机构能力的个性化治疗方法是必不可少的.
- 通过量身定制的干预措施优化疼痛管理可以显著提高CP患者的生活质量.
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